PT  - JOURNAL ARTICLE
AU  - Beenish Khan
AU  - John Alexander
AU  - Krishnaraj Sinhji Rathod
AU  - Fahad Farooqi
TI  - Wellens’ syndrome in a 24-year-old woman
AID  - 10.1136/bcr-2013-009323
DP  - 2013 Apr 30
TA  - BMJ Case Reports
PG  - bcr2013009323
VI  - 2013
4099  - http://casereports.bmj.com/content/2013/bcr-2013-009323.short
4100  - http://casereports.bmj.com/content/2013/bcr-2013-009323.full
AB  - Wellens’ syndrome refers to specific ECG abnormalities in the precordial T-wave segment, which are associated with critical stenosis of the proximal left anterior descending (LAD) coronary artery culminating in an acute anterior wall myocardial infarction (MI) if the patient is not urgently revascularised. We describe the youngest reported presentation of Wellens’ syndrome in a 24-year-old woman with unstable chest pain, characteristic ECG changes and slight troponin biomarker elevation. This was initially unrecognised by the emergency department as unstable coronary syndrome and she subsequently progressed to an anterior non-ST elevation MI (NSTEMI). Her coronary angiogram showed critical narrowing of the proximal LAD which was successfully treated with a drug-eluting stent.